In May 2016, the Centers for Medicare & Medicaid Services (CMS) completed its modernization of the regulations governing managed care in Medicaid and the Children’s Health Insurance Program (CHIP). One of CMS’ primary goals in this regulatory overhaul is to promote transparency, enabling policy makers, beneficiaries, providers, and other stakeholders to better understand and monitor […]
Today, more than 45 million children have coverage through Medicaid and the Children’s Health Insurance Program (CHIP). For the nation’s youngest children, Medicaid and CHIP play an outsized role, covering 44 percent of children under the age of six, compared to 35 percent of children between the ages of six and 18.
Attached are the comments we submitted to CMS on the Medicaid Eligibility Quality Control and Payment Error Rate Measurement Programs rule.
This paper examines one important reason why access to Medicaid for poor adults is crucial for children’s healthy development. Other research has documented the reasons why Medicaid coverage matters so much for uninsured adults, both parents and non-parents: It reduces the rate of uninsurance, allows them to get treatment for medical and mental health problems, and stabilizes family finances. […]
As managed care and particularly mandatory managed care programs have become the predominant model for delivering care in Medicaid, there has been a growing recognition of the need to provide potential enrollees with accurate and timely information about their managed care options, to enable and encourage an active choice of plans, and to ensure that […]
Over the past decade or so as managed care has become the predominant delivery system in Medicaid and CHIP, there has been a growing recognition of the need for current, accurate, and thorough consumer information to aid potential managed care enrollees in making an informed plan selection and in understanding how to maximize their benefits […]